Central Texas Periodontics
NPI #1932328333 in Georgetown, Texas
Provider Information
- NPI Number
- 1932328333
- Entity Type
- Organization
- Organization Name
- Central Texas Periodontics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 1811 N. AUSTIN AVE.
- Address 2
- SUITE 101
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626
- Phone
- (512) 863-9500
Authorized Official
- Name
- DR. JONATHAN R CALLIA, D.D.S., M.S.
- Title
- DENTIST
- Phone
- (512) 863-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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